Wall of Love Blood Drive 2017
This donation process is open to anyone 16 or older who wants to make a positive difference in Montgomery County.

Filling out this form is a promise to attempt a donation and/or a marrow registry on November 4, 2017 at North Montgomery High School.

If you have received this form without any previous information regarding our cause or you need any information about the different options or the donation process in general, please contact Andrew Quintero at North Montgomery High School using the following e-mail: aquintero@nm.k12.in.us

The information you share here will be held in utmost privacy and not shared outside of the planning team.

You might be contacted by phone or e-mail to set up a more precise time or window for your donation.

STUDENTS: You must be 17 years old to donate without special parent forms. You will need to check the proper age boxes to be contacted with the correct forms.

Thanks for joining this event!

Email address *
Never submit passwords through Google Forms.
This form was created inside of North Montgomery Comm. School Corp.. Report Abuse - Terms of Service - Additional Terms